Answer to Question 1
B
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A Incorrect. The nurse assessing a child who has a urinary tract infection will not suspect pyelonephritis rather than cystitis then the child exhibits scant amounts of strong-smelling urine of a very dark orange or brown color.
B Correct. The nurse assessing a child who has a urinary tract infection will suspect pyelonephritis rather than cystitis then the child exhibits fever greater than 38.3 degrees C (101 degrees F), chills, back pain, and appears quite ill.
C Incorrect. The nurse assessing a child who has a urinary tract infection will not suspect pyelonephritis rather than cystitis then the child exhibits low-grade fever, urgency, hesitancy, burning on urination, and cloudy urine. These are manifestations of cystitis.
D Incorrect. The nurse assessing a child who has a urinary tract infection will not suspect pyelonephritis rather than cystitis then the child exhibits low specific gravity of urine, extreme thirst, and nausea and vomiting.
Answer to Question 2
C
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A Incorrect. Managed care systems measure quality of care, but this is not the highest concern.
B Incorrect. Managed care systems measure satisfaction of recipients of care, but this is not the highest concern.
C Correct. Managed care systems are most concerned with cost-effective delivery of health care services, i.e., cost containment.
D Incorrect. Quick referrals to specialists is not a path to cost containment.
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